Organization Active NPI

Integrative Psychiatry & Wellness Professional Nursing Corporation

Doing business as Integrative Psychiatry & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1700683430
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INTEGRATIVE PSYCHIATRY & WELLNESS PROFESSIONAL NURSING CORPORATION
Doing business as
Integrative Psychiatry & Wellness
Practice address
27201 Puerta Real
Ste 300
Mission Viejo, CA 92691
Phone
(909) 274-8610
NPI assigned
Feb 28, 2025
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shahrzad Shadmani, NPNPI 1780251132
Title
Ceo, Pmhnp
Phone
(909) 274-8610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

27201 Puerta Real
Ste 300
Mission Viejo, CA 92691

Mailing address

23986 Aliso Creek Rd
Laguna Niguel, CA 92677-3908
Phone (949) 259-5834

Other names 1

  • Integrative Psychiatry & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250807004250 CA Part B Supplier - Clinic/Group Practice 1355849423 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Niguel, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1700683430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23986 ALISO CREEK RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773908",
            "telephone_number": "949-259-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27201 PUERTA REAL",
            "address_2": "STE 300",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "909-274-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHIATRY & WELLNESS PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2026-10-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "SHADMANI",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "CEO, PMHNP",
        "authorized_official_telephone_number": "909-274-8610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrative Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.